Organizing Canvassers of America

Effective Date

Campaign Contact: hr@ocofamerica.com

SECTION 1: Consent for Adults

First Name

Last Name

I, the undersigned, hereby grant permission to Organizing Canvassing of America, Inc. (OCofAmerica) and supported campaigns its campaign team, volunteers, representatives, and media partners, to record, use, reproduce, and publicly display my image, video likeness, voice, and/or statements for promotional purposes. This includes but is not limited to campaign materials, websites, social media, advertising, live streams, interviews, and public distribution in any format, now or in the future.

I understand that I will not receive financial compensation and that all media content will remain the property of the campaign.

SECTION 2: Consent for Minors (Only complete if you are signing for a minor)

If the individual being filmed or photographed is a minor (under age 18), the parent or legal guardian must complete the following:

Minor's Full Name:

Minor's Date of Birth

Parent/Guardian Full Name:

I certify that I am the parent or legal guardian of the above-named minor and I give full permission for their participation and appearance in campaign-related media. I understand this includes the use of their image, voice, or video in printed or digital campaign materials.

SECTION 3: ADDITIONAL NAMES / GROUP CONSENT (optional)

Other Name(s):

SECTION 4: SIGNATURE & AUTHORIZATION

I have read and understood this release form and voluntarily give my consent.

Full Name (Printed):

Minor's Parent or Guardian Name (if applicable):

Personal Information:

First Name

Last Name

Select Bank Account Type

Checking Account

Savings Account

Bank Information:

Name of Bank:

Routing Number:

Confirm Routing Number:

Account Number:

Confirm Account Number:

Zelle Payment Option

Payment Telephone

Confirm Payment Telephone

OR

Payment Email

Confirm Payment Email

Name (as shown on your income tax return)

Business name/disregarded entity name, if different from above

Check appropriate box for federal tax classification of the person whose name is entered on line 1

Individual/sole proprietor or single-member LLC

C Corporation

S Corporation

Partnership

Trust/estate

Limited liability company. Enter the tax classification (C=C corp, S=S corp, P=Partnership

Other

Exemptions : (codes apply only to certain entities, not individuals)

Exempt payee code (if any): Exemption from FATCA reporting code (if any):

List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup with holding.

Social security number:

Employer identification number:

Part II Certification

Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been

Form W-9 (Rev. October 2018)

Department of the Treasury Internal Revenue Service

notified by the IRS that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below), and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.

Organizing Canvassers of America

Non-Disclosure Agreement (NDA)

Organizing Canvassers of America

PHOTO & VIDEO RELEASE FORM

SECTION 1: Consent for Adults

SECTION 2: Consent for Minors (Only complete if you are signing for a minor)

SECTION 3: ADDITIONAL NAMES / GROUP CONSENT (optional)

SECTION 4: SIGNATURE & AUTHORIZATION

Organizing Canvassers of America

Direct Deposit Authorization Form

Personal Information:

Bank Information:

Zelle Payment Option

OR

Organizing Canvassers of America

W9

Part II Certification

Form W-9 (Rev. October 2018)